39D2008549 CLIA NUMBER - COTTMAN KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 39D2008549
  • Facility Name: COTTMAN KIDNEY CENTER
  • Facility Address: 7198 CASTOR AVENUE
    PHILADELPHIA, PA
    ZIP 19149
  • Facility Phone: 215 745-4060
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. EDWARD R. SNIPES
  • NPI Number: 1881911998
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D2008549
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COTTMAN KIDNEY CENTER
Street 7198 CASTOR AVENUE
City PHILADELPHIA
State PA
ZIP 19149
Phone 215 745-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. EDWARD R. SNIPES

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This page was last updated on: 9/29/2025